I give permission for my child (named above) to attend the events, field trips, and service projects associated with the Youth Group of Foothills Christian Church.  I further give permission for my child to be transported to and from events by hired and volunteer drivers authorized by the Foothills Christian Church.

Medical Release

I hereby authorize the Youth Group leaders, volunteers, Foothills Christian Church, hospitals, licensed medical or dental providers, and their agents and employees to have access to the information contained in this form and to provide all medical or dental care, routine tests, treatment, and necessary transportation advisable for the health and safety of my child.  This authorization includes the authority to consent to any x-ray examinations, anesthetic, medical procedure or treatment, and hospital care under the supervision, and upon the advice of or to be rendered by, a physician or surgeon licensed under the Medical Practice Act or dentist licensed under the Dental Practice Act for my child.

Custody Release

I further authorize the Youth Group leaders of Foothills Christian Church to receive physical custody of my child upon completion of any treatment, and I specifically instruct any treating health facility to surrender physical custody of my child to said adult.

Activity Release

You have received this parental consent form to both inform you and to request your permission for your child’s photo/image and name to be published on the foothillsdisciples.com site or any other websites maintained, owned, and/or administered Foothills Christian Church. This agreement would apply as well to social media accounts maintained by Foothills Christian Church. The law requires that we ask for your permission to use information about your child. Pursuant to law, we will not release any personally identifiable information without prior written consent from you as parent or guardian. Personally identifiable information includes youth names, age, grade, and photo or image. If you, as the parent or guardian, wish to rescind this agreement, you may do so at any time in writing by sending a letter to the Youth Group leader or the Pastoral Staff, and such rescission will take effect upon receipt.